NPI 1528406915

Wkn Tristate Neurology Clinic

Organisation Neurological Surgery Physician Shreveport, LA

Practice location

Address: 2551 Greenwood Rd Suite 240, Shreveport, LA 71103-3981
Phone: (318) 212-8675
Fax: (318) 212-8680

Authorised official

Name: Greg J. Gavin
Title: Network Administrator
Phone: (318) 212-4232

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Louisiana →

Registry record

NPI: 1528406915
Entity type: Organization
NPI issued: 7 Jun 2013
Record last updated: 7 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.